Individual provider Active NPI

Deepa Pandian, D.M.D.

  • Pediatric Dentistry
  • Arlington, VA
National Provider Identifier
1326237116
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401417575 Issued in VA
Practice address
5500 Columbia Pike Ste a
Arlington, VA 22204-5867
Phone
(703) 671-5437
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55231 CA
Pediatric Dentistry 1223P0221X 0401417575 VA Primary

Addresses

Primary practice location

5500 Columbia Pike Ste a
Arlington, VA 22204-5867

Mailing address

5205 Melrose Ave
Los Angeles, CA 90038-3144
Phone (323) 337-1789

Other practice location 1

5205 Melrose Ave
Los Angeles, CA 90038-3144
Phone (323) 337-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
55231CAMDGeneral Practice Dentistry
0401417575VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Apk Pediatric Smiles Pediatric Dentistry CurrentSince Feb 18, 2024 Accepting new patients
Fidel Dental Group Pediatric Dentistry PastSince Feb 18, 2024 Accepting new patients

Locations

5500 Columbia Pike
Ste A
Arlington, VA 22204
Phone (703) 671-5437

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1326237116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383144",
            "telephone_number": "323-337-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 COLUMBIA PIKE STE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045867",
            "telephone_number": "703-671-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 Melrose Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900383144",
            "country_code": "US",
            "telephone_number": "323-337-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDIAN",
        "first_name": "DEEPA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55231",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401417575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.